NPPES file of Aug 9, 2026

Minuteclinic Primary Care Minnesota PLLC in Eagan, MN

This organization bills under NPI 1104632801, an organization record issued on Dec 6, 2024 with the primary taxonomy Family Nurse Practitioner. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1104632801
Legal name
Minuteclinic Primary Care Minnesota PLLC
Entity
Type 2 · organization, a subpart
Parent organization
Primary Care PLLC
Primary taxonomy
Family Nurse Practitioner 363LF0000X
Practice location
4241 JOHNNY CAKE RIDGE RD, Eagan, MN 55122
Phone
866-389-2727
Mailing address
Woonsocket, RI
Enumerated
Dec 6, 2024
Record updated
Mar 24, 2026
Authorized official
Administrator (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

1 clinician CMS lists with Minuteclinic Primary Care Minnesota in Eagan

  1. Elicia Dembele, NPFamily Nurse Practitioner1669278453

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Minnesota secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 363A00000X Physician Assistant
  • 363LF0000X Family Nurse Practitioner

Common questions

Why is the mailing address in Rhode Island?

The mailing address in the record (Woonsocket, RI) is where the organization receives mail. Care is given at the practice location in Eagan.

What does subpart mean?

The organization registered this NPI as a subpart: a part of the organization, such as a location, that bills under its own NPI.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.